Medicare Reimbursement

If you have Medicare coverage and qualify, Medicare will reimburse you for the cost of the lift mechanism inside the chair. This is approximately $300 depending on which Medicare region you're in. About 80% of our customers file for reimbursement.

Only the seat lift mechanism on a lift chair could be considered medically necessary if all of the following coverage criteria are met:

The patient must have severe arthritis of the hip or knee or have a severe neuromuscular disease.

The seat lift mechanism must be a part of the physician?s course of treatment and be prescribed to effect improvement, or arrest or retard deterioration in the patient?s condition.

The patient must be completely incapable of standing up from a regular armchair or any chair in their home. (The fact that a patient has difficulty or is even incapable of getting up from a chair, particularly a low chair, is not sufficient justification for a seat lift mechanism. Almost all patients who are capable of ambulating can get out of an ordinary chair if the seat height is appropriate and the chair has arms.)

Once standing, the patient must have the ability to ambulate (walk).

Coverage of seat lift mechanisms is limited to those types which operate smoothly, can be controlled by the patient, and effectively assist a patient in standing up and sitting down without other assistance. Excluded from coverage is the type of lift which operates by spring release mechanism with a sudden, catapult-like motion and jolts the patient from a seated to a standing position. Coverage is limited to the seat lift mechanism, even if it is incorporated into a chair.

How do I file?

You will need 3 things:

A doctor's prescription

The bill of sale

And a Certificate of Medical Necessity (CMN)

We will provide you with the bill of sale. You may obtain the CMN right here. (You will need Adobe Acrobat Reader (R) to view files. Click here if you experience problems viewing form.).

You then take or mail the CMN to your specialist for their completion. Once completed by your doctor, mail the CMN, bill of sale, and the doctor's prescription to your Medicare regional claims office. If approved, you will receive a check back for reimbursement.